Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEDINA MARY HIDIC
NPI 1457256372
Nurse Practitioner - Family in Southlake, TX

Q: What is Medina Hidic's NPI number?

The NPI number for Medina Hidic is 1457256372. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Q: What is Medina Hidic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Medina Hidic was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2026

480 W SOUTHLAKE BLVD STE 115, SOUTHLAKE, TX 76092(945) 262-7676 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Oct 12, 2026 (2 updates tracked since 2026).

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About Medina Mary Hidic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDINA MARY HIDIC (NPI 1457256372) is an individual family provider in Southlake, Texas, licensed in Texas (11127196) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1457256372

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMEDINA MARY HIDIC

Location Address480 W SOUTHLAKE BLVD STE 115Southlake, TX 76092-6167

Mailing Address4533 Altamesa BlvdFort Worth, TX 76133-6215

Phone(945) 262-7676

Sole ProprietorNo

Enumeration DateOctober 12, 2026

Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration

NPPES CertifiedNovember 5, 2026

✔ NPI 1457256372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 11127196

480 W SOUTHLAKE BLVD STE 115, Southlake, TX 76092

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA YEO RN

Registered Nurse (Infusion Therapy)

480 W SOUTHLAKE BLVD STE 115
SOUTHLAKE, TX 76092

Tarrant County (945) 262-7676

KERRIE FULTON

Registered Nurse (Infusion Therapy)

480 W SOUTHLAKE BLVD STE 115
SOUTHLAKE, TX 76092

Tarrant County (945) 262-7676

MS. ANNA MARIA SHUTE FNP-BC

Nurse Practitioner (Family)

480 W SOUTHLAKE BLVD STE 115
SOUTHLAKE, TX 76092

Tarrant County (945) 262-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medina Hidic's NPI number?

The NPI number for Medina Hidic is 1457256372. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Medina Hidic located?

Medina Hidic practices at 480 W Southlake Blvd Ste 115, Southlake, TX 76092. The listed phone number is (945) 262-7676.

What is Medina Hidic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Medina Hidic was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.